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All-Options: Programs Feedback Survey
As someone who has used All-Options’ services, your thoughts and experiences are very important to us. Your honest responses in this survey will help us improve how we support people in their decisions and experiences with pregnancy, parenting, abortion and adoption. All the information in this survey will be kept confidential. If you have any questions, suggestions or concerns, please contact Katherine Riley, Deputy Director, at katherine@all-options.org. We appreciate your feedback and your participation!
Which All-Options service did you use? Please select one of the following options. If you’ve used more than one All-Options service, please complete a separate survey for each service.
I called the All-Options Talkline
I called the Faith Aloud Spiritual Care Counseling Line
I received diapers from the Hoosier Diaper Program
I got help covering the cost of my abortion from the Hoosier Abortion Fund
I received period/menstrual hygiene products from the All-Options Pregnancy Resource Center
I got help with a judicial bypass for my abortion
Please tell us how you would rate your overall experience interacting with All-Options.
Excellent
1
2
3
4
Poor
5
1 is Excellent, 5 is Poor
What was helpful about your experience with us?
What, if anything, would have made your experience better?
Please tell us how you would rate different aspects of your experience with All-Options.
Quality of information, resources, or referrals given to you
Excellent
1
2
3
4
Poor
5
1 is Excellent, 5 is Poor
Quality of Staff or Volunteer's Listening Skills
Excellent
1
2
3
4
Poor
5
1 is Excellent, 5 is Poor
Using text messaging to communicate with Staff or Volunteers and fill out intake forms
Excellent
1
2
3
4
Poor
5
1 is Excellent, 5 is Poor
Staff or Volunteer's responsiveness to your initial call or request
Excellent
1
2
3
4
Poor
5
1 is Excellent, 5 is Poor
Staff or Volunteer's ability to be open and non-judgmental
Excellent
1
2
3
4
Poor
5
1 is Excellent, 5 is Poor
Staff or Volunteer's ability to be open and non-judgmental
Excellent
1
2
3
4
Poor
5
1 is Excellent, 5 is Poor
Please share more, if you'd like:
How has receiving services from All-Options influenced your beliefs or feelings about pregnancy, parenting, abortion, and/or adoption? (check all that apply)
I learned more about pregnancy/parenting/abortion/adoption
I feel more supported in my own pregnancy/parenting/abortion/adoption experience or decision
I feel less alone in my pregnancy/parenting/abortion/adoption experience or decision
I believe everyone deserves support for their pregnancy, parenting, abortion, and adoption experiences and decisions
I feel inspired to support other people’s pregnancy, parenting, abortion, and adoption experiences and decisions
I feel more connected to resources that can support me in my pregnancy/parenting/abortion/adoption experience or decision
Receiving services from All-Options has not changed my beliefs or feelings about these issues
If you’d like to say more about how All-Options has influenced your beliefs or feelings about pregnancy, parenting, abortion, and/or adoption, please comment here:
Would you refer other people to All-Options?
In what ways would you like to stay connected with All-Options? (please check all that apply)
Add me to the All-Options email list (about 2 emails per month)
I’ll follow you on Facebook, Twitter or Instagram at @AllOptionsNatl or @AllOptionsPRC
I do not want to stay connected with All-Options
Would you be interested in sharing your story about pregnancy, parenting, abortion, or adoption? If so, we may contact you in the future with opportunities to talk to the media or to be part of our outreach or fundraising campaigns. You can change your mind at any time, and have total control over what information you do or don't share.
I would be interested in sharing my story for All-Options outreach or fundraising.
I would be interested in talking to the media about my experiences (radio, newspaper, blog posts, etc).
I am not interested in sharing my story at this time.
If you want to join our email list or are interested in sharing your story, please provide your name, email, and phone number below.
Your Name (however you'd like us to call you)
Your Email address
example@example.com
Phone Number
Please enter a valid phone number.
What are your pronouns?
he/him/his
she/her/hers
they/them/theirs
ey/em/eirs
xie/hir/hirs
ze/zir/zirs
Other
Submit
Should be Empty: